| Internal Medicine Of Marietta | |
|
140 Vann Street Ne Suite 350 Marietta GA 30060 | |
| (770) 771-5470 | |
| (770) 771-5471 |
| Full Name | Internal Medicine Of Marietta |
|---|---|
| Speciality | Internal Medicine |
| Location | 140 Vann Street Ne, Marietta, Georgia |
| Authorized Official Name and Position | Anupama Ravikanth (OWNER) |
| Authorized Official Contact | 7707715470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Marietta 140 Vann Street Ne Suite 350 Marietta GA 30060 Ph: (770) 771-5470 | Internal Medicine Of Marietta 140 Vann Street Ne Suite 350 Marietta GA 30060 Ph: (770) 771-5470 |
| NPI Number | 1649586595 |
|---|---|
| Provider Enumeration Date | 08/28/2010 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649586595 | NPI | - | NPPES |
| 1184719122 | Other | GA | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048297 (Georgia) | Primary |
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